7826_GWALTNEY, JOSEPH LARRY JR_19901024

_ CAMA AND DREDGE AND FILL 9 7926
GENERAL d
C
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the�oasta) Resources Commission
in an area of environmental concern pursuant to 15 NCAC 1 / " -
Applicant Name_ �5`. `�` ���ir �F'� '/ �' �� Phone Number_
Address
City r"'j ! State J
Project Location (Cou ty, State Road, Water Body, etc.) !err �
r
Type of Project Activity
,r" 01%,^
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
Ar-0
/ IJ RJ
l� t�' 4 f���� �G L•1
Zip K
(SCALE:
i
applicant's signature
permit officer's signature
issuing date expiration date
attachments % // / iJ
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee'

ADJACENT RIPARIAN PROPERTY OWNER STAM4ENT
I hereby certify that I own property adjacent to 's
property located at
� (lilt, block, road, tc�
on Tl A� �, / in
(body of water) (town) '
North Carolina in Pamlico County. The proposal has been described to me as shown bel,;w;
the development, a pier/bulkhead/structure, and the proposed location, and I have no
(circle one)
objections to the proposal. I understand that if the development is a pier, it must
he set back a minimum distance of 15 feet from my area of riparian access unless waivod
by me. i do/do not wish to waive that setback requirement..
(circle one)
1'r•scription and/or drawing of proposed development: (to be filled in by individual
;,oposi.ng development.) INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE
i:'I.STA SCE BMWEEN EACH PROPERTY LINE AND THE WATER.
/ a�t4w /4�
(Original must be retained in the Inspection Department)
�a�ure
Name (Please Print)